Organization Active NPI

Wei Guo Lin Physician PC

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1396096178
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
207675 Issued in NY
Legal business name
WEI GUO LIN PHYSICIAN PC
Practice address
139 Centre Street
Suite 501
New York, NY 10013-4555
Phone
(212) 274-9870
Fax
(212) 274-9499
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wei Guo Lin, M,D.NPI 1043381569
Title
President
Phone
(212) 274-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 207675 NY Primary

Addresses

Primary practice location

139 Centre Street
Suite 501
New York, NY 10013-4555

Mailing address

139 Centre Street
Suite 501
New York, NY 10013-4555
Phone (212) 274-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130107000127 NY Part B Supplier - Clinic/Group Practice 0749433423 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

139 Centre St
Ste 501
New York, NY 10013
Phone (212) 274-9870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1396096178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE STREET",
            "address_2": "SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134555",
            "telephone_number": "212-274-9870",
            "fax_number": "212-274-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE STREET",
            "address_2": "SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134555",
            "telephone_number": "212-274-9870",
            "fax_number": "212-274-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEI GUO LIN PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WEI",
        "authorized_official_middle_name": "GUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-274-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "207675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.